When was the last time you went out for some food? Was it to a restaurant , a take away or just a bakers? The chances are that you entered into a contract with the provider of the food about what you would consume in exchange for a particular amount of money. It’s a standard transaction for a modern economy.
A few weeks ago I had a fantastic Chinese banquet. Choosing the banquet option meant that we had a bigger selection of things to choose from and savour, but this came at the price of committing to buying a bigger quantity of food than we would have consumed with a traditional three course meal.
The NHS National Health Service in the United Kingdom is in a state of transition, and has been for several years. Budgets are being adjusted ( usually downwards ) which means that there is less money to pay for as many things as before. There are increasing pressures on the remaining staff, and increasing expectation from the consumers of health care about what they choi,d be receiving.
Going back to the food model. I’d like to suggest that hospitals and many aspects of Secondary Care are like the a la carte restaurant – dishes are served up with a pre arranged price tag, except in the health scenario the customer is blissfully unaware of the cost of the item or the experience they are receiving.
General Practice , or family medicine, in the UK has more in common with the “eat as much as you like buffet”. Providing you can get through the front door, you can fill your boots with as much health advice and medication as you wish. I have enjoyed some really great buffets in my time, and some not so great ones. You generally get what you pay for – your expectation of the quality of the food inside is influenced by the expected financial cost.
Continue reading If the NHS was a Food Outlet , what would it be ?
The blog is good ,links great & the podcast is worth listening to Steve Spangler Is the chap who came up with the idea of dropping a mint into a coke bottle to create a fountain. He trained as a science teacher , then started looking for other ways of making science fun & stimulating. He had approx 61 episodes on YouTube before the coke fountain experiment caught on and went viral.
Continue reading Steve Spangler – the Geeser with the Geysers ( mints in coke bottle chap) discusses youtube, what makes a viral video &analytical tools for Social Media
Compassion in NHS is big news this week. The Francis report is out, and all branches of healthcare are considering its implications. This article discusses the fragility of compassion once the environment becomes stressful. When resources ( time, nurses, cleaning staff, etc ) are in short supply then group survival mechanisms kick in.
Article from Health & Social Care journal discussing compassion in NHS. Please read the comments at the end of the piece by the Professors
It’s the old nature vs nurture debate, and it had its routes in the biological evolution of societies and culture. Tribes of people & staff develop ways of differentiating themselves from the people who are not in their tribe. This is done through words (jargon & abbreviations), appearance (uniforms), and rules or regulations which may not be obvious to the uninitiated.
Continue reading Compassion debate :nature or nurture & why it’s worth considering the bigger picture before rushing to “fix” the NHS through more rules & regulations
This is the roundup of the suggestions from the twittersphere about how to get the most out of your 10 Minute appointment with the GP. Big Thanks to all the comments and clicks this got … clearly this was worthwhile doing and is not finished yet. #10minsGPguide
Please feel free to post more comments. These have been collated using @Grabchat
Continue reading How to Get the Most out of Your 10 Minute GP Consultation
Click here to be taken to post that suggests what the NHS can learn from the Elinor Ostrom’s book “Governing the Commons. The Evolution of Institutions for Collective Action”